Doctor Name: | MRS. STEPHANIE MARIE O'CONNOR |
NPI Number: | 1134546369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | SP8252 |
Business Practice Address: | 600 E. Broadway Street Harrison Elementary Harrison, OH - 45030 |
Business Phone Number: | 5133674161 |
Business Fax Number: | 5133671856 |
Mailing Address: | 400 North Erie Blvd. Suite A, HAMILTON |
State: | OH |
Postal Code: | 45011 |
Phone Number: | 5138873710 |
Fax Number: | 5138873719 |
NPI Enumeration Date: | 03/26/2014 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP8252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |